National Provider Identifier [NPI]: |
1285839654 |
Last Name Of The Provider |
YANG |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 COFFEE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MODESTO |
Zip Code Of The Provider |
953554201 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
11861 |
Number Of Medicare Beneficiaries |
1773 |
Total Submitted Charge Amount |
579424.19 |
Total Medicare Allowed Amount |
131298.01 |
Total Medicare Payment Amount |
101895.76 |
Total Medicare Standardized Payment Amount |
100505.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
9551 |
Number Of Medicare Beneficiaries With Drug Services |
101 |
Total Drug Submitted ChargeAmount |
10691.8 |
Total Drug Medicare AllowedAmount |
1985.29 |
Total Drug Medicare PaymentAmount |
1546.77 |
Total Drug Medicare Standardized Payment Amount |
1546.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
2310 |
Number Of Medicare Beneficiaries With Medical Services |
1773 |
Total Medical Submitted Charge Amount |
568732.39 |
Total Medical Medicare Allowed Amount |
129312.72 |
Total Medical Medicare Payment Amount |
100348.99 |
Total Medical Medicare Standardized Payment Amount |
98959.22 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
387 |
Number Of Beneficiaries Age 65 to 74 |
685 |
Number Of Beneficiaries Age 75 to 84 |
442 |
Number Of Beneficiaries Age Greater 84 |
259 |
Number Of Female Beneficiaries |
1116 |
Number Of Male Beneficiaries |
657 |
Number Of Non Hispanic White Beneficiaries |
1301 |
Number Of Black or African American Beneficiaries |
80 |
Number Of AsianPacific Islander Beneficiaries |
77 |
Number Of Hispanic Beneficiaries |
287 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1120 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
653 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6038 |